Provider Demographics
NPI:1477619906
Name:BENTLEY, NICOLE L (RCP)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:L
Last Name:BENTLEY
Suffix:
Gender:F
Credentials:RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1461 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-2705
Mailing Address - Country:US
Mailing Address - Phone:831-443-0389
Mailing Address - Fax:
Practice Address - Street 1:1461 ADAMS ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-2705
Practice Address - Country:US
Practice Address - Phone:831-443-0389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARCP 62052278C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedCritical Care